Saratov JOURNAL of Medical and Scientific Research

Active monitoring system for elderly and senile patients in a hospital for war veterans

Year: 2020, volume 16 Issue: №1 Pages: 145-150
Heading: Тhematic supplement Article type: Author's opinion
Authors: Denisova Т.Р., Zhuk S.V., Nasarov M.I., Lipatova Т.Е., Alipova L.N., Semenov S.V., Avdienko I.V., Barinova I.V.
Organization: Regional Hospital for War Veterans, Saratov, Saratov State Medical University
Summary:

One of the most important problems of modern healthcare is the development of a scientifically based system of active monitoring of patients of older age groups and the provision of medical care to them using the new medical examination procedure. The results of a two-stage monitoring for 5.5 thousand patients of different ages with the inclusion of screening geriatric assessment and the study of a number of hormonal-metabolic markers of aging are presented. Among the elderly, the number of diseases reaches ten or more, the vast majority of such patients belong to the III and IV health groups. Among the elderly, the number of diseases reaches ten or more, the vast majority of such patients belong to the 3rd and 4th health groups. A high level of patient satisfaction was revealed during an optimized clinical examination scenario. Conducting a staged medical observation with synchronous geriatric assessment allows you to form the most homogeneous group of patients. It is necessary to take into account the following factors: age, initial signs of fragility, the level of markers of hormonal-metabolic wilt, the presence and degree of polymorbidity, which is important for monitoring and treating patients, as well as for modifying geriatric function.

Bibliography:
1. Denisova TP, Malinova LI, Cherevatova OM. Aging and polymorbidity (biophysical aspects). Saratov: SSMU, 2006; 178 p.
2. Carlson С, Merel SE, Yukawa М. Geriatric syndromes and geriatric assessment for the generalist. Med Clin North Am 2015; 99 (2): 263-79. DOI: 10.1016/j. mcna. 2014.11.003.
3. Majumder S, Mondal T, Deen MJ. Wearable Sensors for Remote Health Monitoring. Sensors (Basel) 2017; 17 (1): 130. DOI: 10.3390/S17010130.
4. Liu L, Stroulia E, Nikolaidis I, et al. Smart homes and home health monitoring technologies for older adults: A systematic review. Int J Med Inform 2016; 91: 44-59. DOI: 10.1016/j. ijmedinf. 2016.04.007.
5. Khrapylina LP, Puzin SN, Ivakhnenko LI, et al. Clinical examination of the elderly as a tool for health and prolonging active longevity. Bulletin of the All-Russian Society of Specialists in Medical and Social Expertise, Rehabilitation and the Rehabilitation Industry 2019; (4): 134-44.
6. Gorelik SG. Syndrome of senile asthenia (frailty) as a medical and social problem. In: Clinical and fundamental aspects of gerontology. Samara: Samara State Medical University, 2015; p. 77-82.
7. Parker SG, McCue Р, Phelps К, et al. What is Comprehensive GeriatricAssessment (CGA)?An umbrella review. Age Ageing 2018; 47(1): 149-55. DOI: 10.1093/ageing/afx166.
8. Qiu S, Cai X, Sun Z, et al. Heart Rate Recovery and Risk of Cardiovascular Events and All-Cause Mortality: A Meta-Analysis of Prospective Cohort Studies. J Am Heart Assoc 2017; 6 (5): e005505. DOI: 10.1161/JAHA. 117.005505.
9. A comprehensive interdisciplinary and interagency program for the prevention, early detection, diagnosis and treatment of cognitive impairment in the elderly and senile until 2025. URL: http://rgnkc.ru/images/pdf_documets/Antidement_ plan_060919. pdf.
10. Malnutrition in the elderly and senile: Clinical recommendations of the Ministry of Health of Russia. URL: http://rgnkc.ru/images/pdf_documets/nedostatochnost_ pitaniya%20_28012020. pdf.
11. Vasarhelyi В, Debreczeni LA. Lab Test Findings in the Elderly. EJIFCC 2017; 28 (4): 328-32.
12. Rosansky SJ, Schell J, Shega J, et al. Treatment decisions for older adults with advanced chronic kidney disease. BMCNephrol2017; 18(1 ):200.DOI: 10.1186/s12882-017-0617-3.
13. Gymez S, Remacha BF, Mucoz M. Anaemia in the elderly [Anemia del anciano]. Med Clin (Bare) 2017; 149 (11): 496-503. DOI: 10.1016/j. medcli. 2017.06.025.
14. Denisova TP, Cherevatova OM. Characterization of anemic syndrome in the elderly and senile. Clinical Gerontology 2005; 11 (9): 9-10.
15. Milani RV, Lavie CJ. Health care 2020: reengineering health care delivery to combat chronic disease. Am J Med 2015; 128 (4): 337-43. DOI: 10.1016/j. amjmed. 2014.10.047.
16. Moorhouse P, Koller K, Mallery L. End of Life Care in Frailty. Interdiscip Top Gerontol Geriatr 2015; 41: 151-60. DOI: 10.1159/000381232.

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